HomeMy WebLinkAboutDrain Layers Permit 25 Stedman Circle TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6760 Contractor WILCOX, MICHAEL (EAGLE)
Location 25 STEDMAN CIR Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
Phone No. (860)693-2027
Date Insp Needed IZ`-71178 Date Irisp . 'L'19
Time I nsp Needed 10.o
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°ermi"> ;Nc� . ' 6760 Town of South Windsor, C7
,ermi-t a[te 02/24/1-9.,98 Drain Layer Permit
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{ App } -i cant Loc,at i on
ame WILCOX , MICHAEL i EAGLC- ) Addr .. 26 "')TEDMAN CIR
ddr . EAGLE EARTHWORK SERV,. Owner 'MANNARINO BLDRS
101 N MOUNTAIN ROAD
CANTON CT 06Ui,9.
hone No. ( 860 )693-2027
The Drain Layer asLrgned this permit has a valid license issued by the
state and hereby agrees t(�` a '1 the terrris end coridi"tuns set forth in the
attached 'Conditions . A 1 1 ,work sha1 1.'be i-n ac;cgtrdance' with Town of South
Windsor standards , all O5o1A requirements, and .the .attached conditions.
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Inspected By
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: k6 7- mi's
BUILDING ADDRESS
STREET 5-I ekm4v Cif-cle-
-I- SUBDIVISION: Cu
NORTH ARROW
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CONTRA OR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNATURE D
C_T 6d !� 213 DATE
TOWN STATE ZIP INSPEC Y TOWN
67 3 - `7 DATE
1EPHONE hUMBER
CITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH VAMSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
I540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work 2 5 l°�����t�� o i- t6 Lot #
n Street No. Street Name
Premises owned by: �1�� " ��.J1, 1
Name of Firm: R 6[�! Phone:
Address of Firm: f ,' A) -1,d f 1U
TYPE OF WORK:
Lay House Drain ; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
,44
Permit is to be issued to Ph,
fto,� � (.�<1�� � the holder of Drain�
layer's License No. 2 Only holders of Pl, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
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Signed: $WwA"ev � � Print Name .N,, .u�2�l-Fu/41r(Cc�
Licensed Drain Layer
Date: , C�